Pharmacy Stop Smoking Service SpecificationService Specification Agreement • October 31st, 2016
Contract Type FiledOctober 31st, 2016Contents Page 1. Introduction 2 2. Background 2 3. Rationale 2 4. Aims of the Service 2 5. Description of Enhanced Service 2 6. Pharmacy Responsibilities: 2 6.1 Training 2 6.2 Competence to practice 3 6.3 Delivery of Intensive Support 3 6.4 Consultation Area 4 6.5 Availability of Service 4 6.6 Advertising and Promotion of Service 4 6.7 Drug Therapy 4 6.8 Monitoring 4 6.9 Spontaneous Quitters 5 6.10 Renewed Quit Attempts 5 6.11 Safeguarding against fraudulent payment claims 6 7. Performance Criteria: 6 7.1Quit Rate 6 7.2 Loss to Follow-up 6 7.3 CO Validation 6 7.4 Return of Monitoring Data 6 7.5 Action for Non Performance 6 7.6 Continuation of Scheme 6 7.7 Non Delivery of Service 7 7.8 Audit 7 7.9 Record Keeping 7 7.10 Supporting Principles 7 8. Payment for Services Provided 7 8.1 Payment for Intensive support 7 9. Provision of Training 7 10. Specialist Support 8 11. References 8 Appendix 1 – NRT Claim Form 9 Appendix 2 -Enhanced Pharmacy Scheme Contract amendments 10
Standard Contracts
Acceptance of Service Specification Agreement (Pharmacy):Service Specification Agreement • March 22nd, 2013
Contract Type FiledMarch 22nd, 2013Pharmacy DetailsTo be completed and returned with signed specification Name of Pharmacy Address of Pharmacy Phone No. Fax No. Email Name of HAG Accredited Pharmacist Name of Trained Staff Days/times when smoking cessation service available
Example: Solihull Council for Voluntary Services – Service Specification Agreement 2006/07Service Specification Agreement • October 1st, 2013
Contract Type FiledOctober 1st, 2013
Service Specification Agreement Commissioner: Yorkshire Ambulance Service NHS Trust, Trust Headquarters, Springhill 2, Brindley Way, Wakefield 41 Business Park, Wakefield WF2 0XQ Provider:Service Specification Agreement • July 31st, 2016
Contract Type FiledJuly 31st, 2016This document constitutes the agreement for Community Pharmacy Yorkshire Ambulance Service NHS Trust (YAS) Staff Influenza Vaccination Service (YAS Flu Service).